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Evidence based medicine, now backed by updated reimbursement.

The Centers for Medicare & Medicaid Services (CMS) released the fiscal year 2023 Hospital Inpatient Prospective Payment System (IPPS) final rates and policies. Effective October 1, 2022, two EKOS procedure codes used for pulmonary embolism treatment saw an increase in reimbursement of nearly 9%, while the third increased by 2.4%. Reimbursement for EKOS peripheral vascular procedure codes (including DVT treatment) increased by almost 5%. 

Important information 

Health economic and reimbursement information provided by Boston Scientific Corporation is gathered from third-party sources and is subject to change without notice as a result of complex and frequently changing laws, regulations, rules and policies. This information is presented for illustrative purposes only and does not constitute reimbursement or legal advice. Boston Scientific encourages providers to submit accurate and appropriate claims for services. It is always the provider’s responsibility to determine medical necessity, the proper site for delivery of any services, and to submit appropriate codes, charges, and modifiers for services that are rendered. It is also always the provider’s responsibility to understand and comply with Medicare national coverage determinations (NCD), Medicare local coverage determinations (LCD) and any other coverage requirements established by relevant payers which can be updated frequently. Boston Scientific recommends that you consult with your payers, reimbursement specialists and/or legal counsel regarding coding, coverage, and reimbursement matters. Boston Scientific does not promote the use of its products outside their FDA-approved label.

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*Weighted averages based on distribution of MS-DRGs from CMS' Final IPPS FY 2021, MedPAR Vol 7b.